A Prospective Randomized Controlled Trial Comparing Infection Rates of the Daily Dressing and Scheduled Dressing of Sutured Traumatic Wounds

Authors

  • Raywat Chunhasuwankul
  • Natthida Owattanapanich
  • Lertpong Somcharit
  • Harutai Pantheepo
  • Sujira Prasanrat
  • Anusak Yiengpruksawan

Keywords:

Traumatic wound infection; scheduled dressing; daily dressing

Abstract

Objective: To evaluate outcome differences between DD and SD in 1) wound infection rates, 2) patients’ satisfaction
according to the wound care and cost of treatment.
Methods: A single-center, prospective randomized controlled trial of 350 traumatic-wound patients was conducted. Only adult
traumatic wounds without a fracture, tendon injury and neurovascular injury were included. The patients were randomized
into two groups: daily dressing (DD) and scheduled dressing (SD) groups. DD group patients received daily wound dressing
changes, while those in SD group typically had dressing changed on days 3, 7 and one other scheduled day. Analyzed
data included patients’ demographics, clinical parameters, patient’s satisfaction according to wound treatment and cost.
Results: Total wound infection rate was 1.2%. Although the incidence of wound infection in the SD group was
lower than that of the DD group (0% vs 2.4%), statistically it was not significant (p=0.06). Patients’ satisfaction level
was also not significantly different between the two groups.
Conclusion: The study showed clinical non-inferiority of SD compared to DD while offering saving benefits both
in time and cost. Therefore, SD can be substituted for DD for traumatic wound care after primary repair.

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Published

30-10-2018

How to Cite

Chunhasuwankul, R., Owattanapanich, N., Somcharit, L., Pantheepo, H., Prasanrat, S., & Yiengpruksawan, A. (2018). A Prospective Randomized Controlled Trial Comparing Infection Rates of the Daily Dressing and Scheduled Dressing of Sutured Traumatic Wounds. Siriraj Medical Journal, 70(5), 377–381. Retrieved from https://he02.tci-thaijo.org/index.php/sirirajmedj/article/view/152637

Issue

Vol. 70 No. 5 (2018): September-October

Section

Original Article

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